Individual
MRS. MELISSA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
100 RORER ST, CHATHAM, VA 24531-5455
(434) 432-0471
Mailing address
1172 GAMMONS LAKE RD, CHATHAM, VA 24531-4399
(434) 251-2575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603055
VA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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